Pressure-Induced Fibroid Ischemia: First-In-Human Experience with a Novel Device for Laparoscopic Treatment of Symptomatic Uterine Fibroids.

The purpose of this study was to assess the feasibility of use of a novel uterine fibroid treatment device hypothesized to cause fibroid infarction by increasing intra-tumoral pressure. Between August 2019 and January 2020, 21 uterine fibroids were treated in 16 symptomatic pre-menopausal black women. Pelvic magnetic resonance imaging was performed before the procedure, a day after the procedure and at 1, 3, 6, and 12 months.

Anterior Wall Success at 1 Year After Vaginal Uterosacral Ligament Suspension and Sacral Colpopexy.

Objectives: The primary objective was to evaluate 1-year anterior wall anatomic success rates for vaginal uterosacral ligament suspension (USLS) and minimally invasive sacral colpopexy (SCP) using delayed-absorbable suture. Secondary objectives included assessment of apical success, mesh or suture exposure, and postoperative quality of life (QoL) measures 12 months after surgery.

Methods: This was a retrospective cohort study including women who underwent a hysterectomy with concomitant USLS or SCP with delayed-absorbable suture from January 2011 to December 2015 with 1-year follow-up.

Laparo-endoscopic single-site surgery hysterectomy using robotic lightweight endoscope assistants.

Current laparoscopic and robotic hysterectomy techniques require three to five small incisions in the abdominal wall. Each additional port contributes an additional risk for port site complications. Because of these risks, and in an effort to improve cosmesis, surgery through a single incision is being explored.

Objective structured assessment of technical skills for repair of fourth-degree perineal lacerations.

Objective: The objective of this study was to assess the reliability and validity of an objective structured assessment of technical skills (OSATS) for repair of fourth-degree obstetric lacerations on a surgical model.

Study Design: Three blinded judges reviewed recordings of 20 junior and 20 senior obstetrics-gynecology residents performing simulated perineal repairs using a beef tongue model. Judges completed task-specific OSATS and global rating scales for each repair.

Textbook recommendations for preventing and treating perineal injury at vaginal delivery.

Objective: To assess general obstetrics textbooks regarding the quality and quantity of information about perineal injury at vaginal delivery.

Methods: An obstetrics and gynecology resident, a perinatologist, and a urogynecologist evaluated 7 obstetrics textbooks by using a standardized abstraction form that delineated descriptions of anatomy and physiology, episiotomy use, and perineal trauma prevention and repair.

Results: Two textbooks briefly described anal sphincter anatomy, but none provided a detailed discussion of the relative contribution of anatomic components to continence.

Laparoscopic management of ureteric obstruction after uterosacral vaginal vault suspension.

The uterosacral ligaments commonly are used to correct pelvic organ prolapse. For experienced surgeons, the rate of ureteral injury with uterosacral vaginal vault suspensions is 2%-4%. Exploratory laparotomy and ureterolysis has been used to treat iatrogenic ureteral injury.

Incidence of perioperative complications of urogynecologic surgery in elderly women.

Objective: The purpose of this study was to determine the incidence of and risk factors for perioperative complications in elderly women who undergo urogynecologic surgery.

Study Design: A retrospective chart review of patients > or = 75 years old who underwent urogynecologic surgery between January 1999 and December 2003 was performed. Demographics, comorbidities, and significant perioperative complications were recorded.

Adoption of the pelvic organ prolapse quantification system in peer-reviewed literature.

Objective: The purpose of this study was to examine the method of describing pelvic organ prolapse in the peer-reviewed literature since the introduction of the Pelvic Organ Prolapse Quantification System (POPQ).

Study Design: Representative US and international gynecology and urology journals were selected for review. All prolapse or urinary incontinence articles published in these journals from January to December of 1999 (period 1) and July 2001 to June 2002 (period 2) were hand searched by two independent reviewers.

Laparoscopy for adnexal masses in the second trimester of pregnancy.

Study Objective: To assess the safety of laparoscopic treatment of adnexal masses in the second trimester of pregnancy.

Design: Retrospective chart review (Canadian Task Force classification II-3.

Setting: Large tertiary care medical center.